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FORWARD WASTE <br /> ZDOUS WASTE MANIFEST <br /> *? ' WASTE TRE,TMENT AND DISPOSAL FACILITY <br /> INC- OB ,ACCEPTANCE NO. - ru) <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �`.r L"o�,` �.� D_L V� []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAI1 4 G ADDRESS tf ❑TY-VEK ❑OTHER <br /> t 5 �"I��e SPECIAL HANDLING PROCEDURES: <br /> CITY�, TATyE�,ZIP <br /> PHO(/'E e <br /> • COZCT PERSON <br /> v <br /> SIG TUBE OF AUTHOR ED AGENT/ TITLE DATE <br /> 8 <br /> WAST TYPE ? RECEIVING FACILITY <br /> ❑ SLUDGE <br /> REATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • <br /> 'DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> .• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> +• • GENERATING FACILITY (209) 982-4298 PHONE <br /> t KE uIS,T, 'fi n (209) 982- 1009 FAX <br /> NAME NOTES: .. _r TRUCK NUMBER <br /> ADDRESS ' <br /> . CITY. STATE, ZIP <br /> • PHONE END LUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE'OF AUTHORISED AGENT OR DRIVER DATE ROLL-Ct1FF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> • Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE(STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on ❑ SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> ` REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST# 38760 <br /> GENERATOR COPY <br />